State Innovation Model (SIM) in Southwest Regional Health Family Program: Enhancing Behavioral Health Integration and Community Collaboration

Colorado's State Innovation Model (SIM) program, part of the Southwest Regional Health Family Program, focuses on integrating behavioral health and primary care while exploring alternative payment models. SIM grants are awarded over three years to support practice transformation and local public health agencies. The program targets reducing suicide rates, especially among vulnerable populations in Region 9, through community assessments, system coordination, and initiatives like the Suicide Prevention Community Summit.

• State Innovation Model
• Behavioral Health Integration
• Community Collaboration
• Suicide Prevention
• Healthcare Transformation

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1. State Innovation Model (SIM) State Innovation Model (SIM) - - Southwest Regional Health Family Program (SRHFP) Regional Health Family Program (SRHFP) Southwest Gordon South SIM Project Manager

2. What is SIM? The Colorado State Innovation Model (SIM), funded by the Centers for Medicare & Medicaid Services, is helping practices integrate behavioral health and primary care and test alternative payment models. Practice transformation integration in primary care Bi-Directional Integration -Demonstration Pilot Local Public Health Agency population focus the Centers for Medicare & Medicaid Services, is helping practices integrate behavioral health and primary care and test alternative payment models. SIM grants are awarded over a three year period.

3. SIM in Region 9 SIM Practice Transformation Sites- Mercy Family Medicine- (Horse Gulch and Three Springs), Pediatric Partners of the Southwest, Community Health Clinic in Dove Creek SIM Local Public Health funding- San Juan Basin Public Health, Southwest Regional Health Family Program (SRHFP)

4. Overarching SRHFP structure and objectives Behavioral Health Working Groups (BHWs) Behavioral Health Working Groups (BHWs)- - Increased collaboration. Community assessment Community assessment- - Increased knowledge of behavioral health needs, gaps, populations and develop strategies. Systems approach for addressing target issue Systems approach for addressing target issue- - Increased coordination and integration across systems.

5. Prioritized community issue/ population impact goal Reduce the rate of completed and attempted suicide across region 9, especially targeting disparities in vulnerable subpopulations. Region 9 disparities in suicide mortality and attempts. SIM funding targets 3 counties, including Archuleta, San Juan and La Plata, while working with Regional Health Connector to link regional networks and resources.

6. Suicide Prevention Community Summit Goal to increase community awareness and skills in how to respond to signs of suicide. Start a community discussion- Building awareness in order to open the door to action. Key themes community emphasized mental health awareness, wellness promotion, school climate/safety and interpersonal/ community connectedness. http://sjbpublichealth.org/suicide- prevention-community-summit-summary-report

7. Suicide-Safer Communities Comprehensive, public health approach LivingWorks- 10 Pillars framework www.livingworks.net/community

8. LivingWorks 10 pillars of a suicide-safer community 1.Leadership/ Steering Committee 2.Community Needs Assessment and Action Plan 3.Mental Health and Wellness Promotion 4.Suicide Prevention Awareness 5.Training 6.Suicide Intervention Services 7.Clinical Support Services 8.Suicide Bereavement 9.Evaluation and Dissemination 10.Capacity Building and Sustainability

9. Collective Impact approach Common Agenda support key pillars of a suicide safer community Shared Measurement- data on shared risk and protective factors and health outcomes targeted through collaborative efforts Mutually Reinforcing Activities- carried out by all the steering committee members Continuous Communication building trust across stakeholders and create shared motivation and commitment Backbone organization: San Juan Basin Public Health, Division of Prevention Services

10. Next steps Initial stakeholder meeting and prioritization Mental Health Promotion Campaign- Let s Talk, connected to local resources Connecting resources across Region 9

11. Questions? Thank you!